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Wound Debridement Of Muscle Or Its Covering

South Carolina rates for HCPCS 11043

Surgically cleans a wound by cutting away dead or infected muscle and the tough covering over it, along with any dead skin and fat above. It is used for deep wounds such as pressure sores, diabetic ulcers and badly infected injuries, so that only healthy tissue is left and healing can begin. This covers a limited area of wound surface; larger wounds are accounted for by the extra area as well.

Rates data updated July 2026.

How much does Wound Debridement Of Muscle Or Its Covering cost?

$251

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $251 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $1,148 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$240$166 to $302
FacilityA hospital or hospital-owned outpatient department$1,148$427 to $5,248

How much rates vary

Facilitymedian $1,148 · 10th to 90th $224 to $9,550Professionalmedian $240 · 10th to 90th $148 to $417
$100$500$2K$10Kfacility $1,148professional $240

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$2,089.30
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$239.88
Typical High
$416.87
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$186.21
Typical High
$245.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$794.33
Typical High
$1,148.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$245.47
Typical High
$489.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$245.47
Typical High
$354.81
Medcost
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Medcost
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$239.88
Typical High
$398.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$1,202.26
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$208.93
Typical High
$371.54

Where South Carolina sits

The same service costs 3.5 times more in Alaska than in Vermont. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Carolina· 34th of 51

$251

AK $537VT $155

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.